Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $3,682.00 / $12,281.00	Facility		$1,086.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.59 / $1,648.07 / $2,531.77	Professional		$1,338.59	$1,648.07	$2,531.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,560.46 / $4,733.89 / $8,663.91	Facility		$2,560.46	$4,733.89	$8,663.91
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,543.53 / $1,543.53 / $1,571.98	Facility		$1,543.53	$1,543.53	$1,571.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,645.17 / $2,088.16 / $3,008.86	Professional		$1,645.17	$2,088.16	$3,008.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $26,542.00 / $26,542.00	Facility		$11,500.00	$26,542.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,813.92 / $13,065.44 / $15,134.93	Professional		$12,813.92	$13,065.44	$15,134.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,575.44 / $1,930.46 / $2,601.77	Facility		$1,575.44	$1,930.46	$2,601.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.95 / $2,782.32 / $3,477.90	Professional		$1,738.95	$2,782.32	$3,477.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,575.44 / $1,932.78 / $2,645.25	Facility		$1,575.44	$1,932.78	$2,645.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,654.39 / $2,202.88 / $3,352.90	Professional		$1,654.39	$2,202.88	$3,352.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.44 / $1,861.14 / $2,635.37	Professional		$1,384.44	$1,861.14	$2,635.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,484.14 / $1,687.85 / $2,341.59	Professional		$1,484.14	$1,687.85	$2,341.59